Search results for "PATIENT"

showing 10 items of 5265 documents

Association between cognitive impairment and guideline adherence for application of chemotherapy in older patients with breast cancer: Results from t…

2018

Background This study examined the association between cognitive impairment and guideline adherence for application of chemotherapy in older patients with breast cancer. Patients and methods In the prospective multicenter cohort study BRENDA II, patients aged ≥65 years with primary breast cancer were sampled over a period of 4 years (2009-2012). A multiprofessional team (tumor board) discussed recommendation for adjuvant chemotherapy according to the German S3 guideline. Cognitive impairment was screened by the clock-drawing test (CDT) prior to adjuvant treatment. Results Two hundred and sixty-three patients were included in the study and CDT data were available for 193 patients. Thirty-one…

medicine.medical_specialtymedicine.medical_treatmentBreast Neoplasms030218 nuclear medicine & medical imaging03 medical and health sciences0302 clinical medicineBreast cancerOlder patientsInternal medicineInternal MedicinemedicineHumansCognitive DysfunctionProspective StudiesAgedAged 80 and overChemotherapyGuideline adherencebusiness.industryGuidelineMiddle Agedmedicine.diseaseConfidence intervalOncologyChemotherapy Adjuvant030220 oncology & carcinogenesisFemaleSurgeryGuideline AdherencebusinessAdjuvantCohort studyThe Breast Journal
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Vitamin D levels in Mediterranean breast cancer patients compared with those in healthy women

2018

To evaluate the vitamin D status of postmenopausal women with early estrogen-receptor-positive breast cancer and to compare it with that of healthy postmenopausal women from the same Mediterranean region. STUDY DESIGN AND OUTCOME MEASURES: Data from 691 breast cancer (BC) patients in the B-ABLE cohort were analyzed after recent cancer intervention (recent-BC) or after a minimum of two years since this intervention (long-term-BC). Patients were also stratified by previous chemotherapy exposure (ChT+ and ChT-). Plasma levels of 25-hydroxyvitamin D [25(OH)D] (25(OH)D) were compared with data from 294 healthy women (non-BC) by linear regression to estimate β-coefficients using non-BC participan…

medicine.medical_specialtymedicine.medical_treatmentBreast NeoplasmsGastroenterologyGeneral Biochemistry Genetics and Molecular Biology03 medical and health sciencesBreast cancer0302 clinical medicineBreast cancerInternal medicineVitamin D and neurologyHumansChemotherapyMedicineIn patient030212 general & internal medicineVitamin DAgedChemotherapyMediterranean Regionbusiness.industryHealthy populationConfoundingB-ABLE cohort studyObstetrics and GynecologyMiddle AgedVitamin D Deficiencymedicine.diseasePostmenopause030220 oncology & carcinogenesisCohortFemalebusinessBody mass indexMaturitas
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The ultra-thin bronchoscope in management of the difficult paediatric airway

1987

The use of an ultra-thin flexible fiberoptic bronchoscope with a single lumen diameter of 2.7 mm at the distal tip to assist intubation of paediatric patients with a difficult airway is reported. Two patients (ages 30 months and 18 months) with mandibular hypoplasia and one patient (three months) with the Pierre-Robin syndrome are reported. In each case two fiberoptic bronchoscopes were used. The first allowed introduction of topical local anaesthetic while the second and smaller one was used for tube placement.

medicine.medical_specialtymedicine.medical_treatmentBronchoscopyIntubation IntratrachealmedicineFiber Optic TechnologyHumansIntubationBronchoscopesPaediatric patientsPierre Robin Syndromemedicine.diagnostic_testbusiness.industryInfantGeneral MedicineTemporomandibular Joint Disordersmedicine.diseaseHypoplasiaSurgeryLumen DiameterBronchoscopesAnesthesiology and Pain MedicineChild PreschoolAnesthesiaPierre Robin syndromeFemalebusinessAirwayAnesthesia LocalCanadian Journal of Anaesthesia
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A New Routine for Analyzing Brief Symptom Inventory Profiles in Chronic Pain Patients to Evaluate Psychological Comorbidity

2021

Question: Comorbidity, i.e., additional psychological distress in patients already suffering from chronic somatic diseases (e.g., orthopedic conditions) is of growing importance. The quality of analyzing and interpreting the often used Brief Symptom Inventory (BSI) used with orthopedic patients should improve by employing a new “case definition” of four groups (instead of two) of differentially psychologically distressed patients instead of two groups as before.Methods: Four groups with the different psychological distress definitions of “no,” “mild,” “remarkable,” and “severe” were to be analyzed from a group of 639 orthopedic patients in inpatient rehabilitation clinics. The BSI is transf…

medicine.medical_specialtymedicine.medical_treatmentChronic painPsychological interventionPsychological distressorthopedic patientsBSImedicine.diseaseComorbidityBF1-990Distressnew case definitionpsychological distressIntervention (counseling)Orthopedic surgerymedicinePhysical therapyPsychologyfour groupsPsychologyGeneral PsychologyCrisis interventionOriginal ResearchFrontiers in Psychology
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Treatment decision making in patients with arrhythmogenic right ventricular dysplasia/cardiomyopathy: State of the art

2014

No abstract available

medicine.medical_specialtymedicine.medical_treatmentDecision MakingCardiomyopathySudden deathImplantable cardioverter-defibrillatorAntiarrhythmic drugs; Cardiac transplantation; Implantable cardioverter-defibrillator; Management; Radiofrequency catheter ablation; Sudden death; Arrhythmogenic Right Ventricular Dysplasia; Decision Making; HumansAntiarrhythmic drugs; Cardiac transplantation; Implantable cardioverter-defibrillator; Management; Radiofrequency catheter ablation; Sudden deathInternal medicinemedicineHumansIn patientIntensive care medicineArrhythmogenic Right Ventricular DysplasiaRadiofrequency catheter ablationbusiness.industrySudden deathImplantable cardioverter-defibrillatormedicine.diseaseSettore MED/11 - Malattie Dell'Apparato CardiovascolareArrhythmogenic right ventricular dysplasiaAntiarrhythmic drugsManagementAntiarrhythmic drugRadiofrequency catheter ablationCardiologyCardiac transplantationTreatment decision makingCardiology and Cardiovascular Medicinebusiness
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Prevalence of xerostomia in patients attending Shorish dental speciality in Sulaimani city

2014

Objectives: The aim of this study was to investigate the prevalence of xerostomia among dental patients and explo - re the possible risk factors and symptoms associated with this condition. Study Design: The prevalence of xerostomia and its associations were investigated among patients (n=1132) who were visiting the department of oral medicine at shorish dental speciality in sulaimani city. The age range was bet - ween 10-79 years. 512 (45.2%) of participants were males and 620 (54.8%) were females. The data collected were age, sex, systemic diseases, medications and habit of smoking. Logistic regression models to estimate odds ratios and 95% confidence intervals were used to investigate th…

medicine.medical_specialtymedicine.medical_treatmentDentistryOdontologíaLogistic regressionstomatognathic systemInternal medicineDiabetes mellitusChi-square testotorhinolaryngologic diseasesMedicineIn patientGeneral DentistryOral Medicine and Pathologybusiness.industryResearchOdds ratiomedicine.disease:CIENCIAS MÉDICAS [UNESCO]Ciencias de la saludConfidence intervalstomatognathic diseasesUNESCO::CIENCIAS MÉDICASAntihistaminebusinessOral medicine
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Group psychoeducation with relaxation for severe fear of childbirth improves maternal adjustment and childbirth experience – a randomised controlled …

2014

Previous studies on the treatment of women with fear of childbirth have focused on the delivery mode. Women with fear of childbirth often suffer from anxiety and/or depression, and treatment therefore also needs to target postnatal psychological well-being and the early mother-infant relationship.Three hundred and seventy-one nulliparous women out of 4575 scored ≥100 in prospective screening (Wijma Delivery Expectancy Questionnaire, W-DEQ-A), indicating severe fear of childbirth. These women were randomised to psychoeducative group intervention with relaxation (n = 131; six sessions during pregnancy, one postnatal) or to conventional care (n = 240) by community nurses (referral if necessary…

medicine.medical_specialtymedicine.medical_treatmentMothersRelaxation TherapyPatient Education as TopicPregnancySurveys and QuestionnairesAdaptation PsychologicalPsychoeducationmedicineHumansChildbirthPsychiatryta515Pregnancybusiness.industryPostpartum PeriodParturitionSocial SupportObstetrics and GynecologyFearMaternal adjustmentChildbirth experienceDelivery ObstetricDelivery modemedicine.diseaseta3123Postnatal depressionPregnancy ComplicationsPsychiatry and Mental healthClinical PsychologyPost traumatic stress syndromeReproductive MedicineFear of childbirthEdinburgh Postnatal Depression ScalePsychotherapy GroupAnxietyFemalePregnant Womenmedicine.symptombusinessPsychosocialPostpartum periodJournal of Psychosomatic Obstetrics & Gynecology
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Analysis and evaluation of periodic physiological organ motion in radiotherapy treatments.

2003

Background and purpose: A system for the detection, measurement and analysis of the periodic physiological organ motion during radiotherapy treatment is proposed and clinically tested in this paper. Material and methods: The procedure is based on the acquisition of fluoroscopic sequences, followed by an automatic detection of the movement using cross-correlations with matched filters. Results: The system generates a probability density function (PDF) of finding a mobile organ in a position at a certain time. The maximum path of the mobile structures can be determined to define the planning target volume (PTV) without ambiguities. Conclusions: Physiological movements can be accurately includ…

medicine.medical_specialtymedicine.medical_treatmentMovementRespiratory SystemPlanning target volumeProbability density functionPatient Care PlanningAutomationOrgan MotionPosition (vector)NeoplasmsMedicineHumansRadiology Nuclear Medicine and imagingComputer visionbusiness.industryMatched filterRespirationHematologySurgeryRadiation therapyOncologyFluoroscopyRadiotherapy treatmentArtificial intelligenceDose Fractionation RadiationRadiotherapy ConformalbusinessRadiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology
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Multicenter and all-comers validation of a score to select patients for manual thrombectomy, the DDTA score.

2021

Background Routine manual thrombectomy (MT) is not recommended in primary percutaneous coronary intervention (P-PCI) but it is performed in many procedures. The objective of our study was validating the DDTA score, designed for selecting patients who benefit most from MT. Methods Observational and multicenter study of all consecutive patients undergoing P-PCI in five institutions. Results were compared with the design cohort and the performance of the DDTA was analyzed in all patients. Primary end-point of the analyses was TIMI 3 after MT; secondary endpoints were final TIMI 3, no-reflow incidence, in-hospital mortality and in-hospital major cardiovascular events (MACE). In-hospital prognos…

medicine.medical_specialtymedicine.medical_treatmentMyocardial Infarction030204 cardiovascular system & hematology03 medical and health sciences0302 clinical medicinePercutaneous Coronary InterventionInternal medicineMedicineHumansRadiology Nuclear Medicine and imagingIn patient030212 general & internal medicinecardiovascular diseasesEdetic AcidThrombectomyPrimary angioplastyFramingham Risk Scorebusiness.industryIncidence (epidemiology)Percutaneous coronary interventionGeneral MedicineTreatment OutcomeMulticenter studyCohortCardiology and Cardiovascular MedicinebusinessTIMIMace
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Rationale and design of the EMBRACE STEMI Study: A phase 2a, randomized, double-blind, placebo-controlled trial to evaluate the safety, tolerability …

2012

Background Although significant efforts have been made to improve ST-segment elevation myocardial infarction (STEMI) outcomes by reducing symptom-onset-to-reperfusion times, strategies to decrease the clinical impact of ischemic reperfusion injury have demonstrated limited success. Bendavia, an intravenously administered mitochondrial targeting peptide, has been shown to reduce myocardial infarct size and attenuate coronary no-reflow in experimental modelswhen given before reperfusion. Design The EMBRACE STEMI study is a phase 2a, randomized, double-blind, placebo-controlled trial enrolling 300 patients with a first-time anterior STEMI and an occluded proximal or mid–left anterior descendin…

medicine.medical_specialtymedicine.medical_treatmentMyocardial InfarctionPlacebo-controlled studyMyocardial Reperfusion InjuryPlaceboClinical Trials Phase II as TopicInternal medicinemedicineClinical endpointHumansInfusions Intra-ArterialST segmentcardiovascular diseasesMyocardial infarctionRandomized Controlled Trials as Topicbusiness.industryPatient SelectionPercutaneous coronary interventionmedicine.diseaseResearch DesignConventional PCICardiologyNo-Reflow PhenomenonStentsCardiology and Cardiovascular MedicinebusinessOligopeptidesReperfusion injuryAmerican Heart Journal
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